Common use of Claim Submission and Payment Clause in Contracts

Claim Submission and Payment. 2.9.1 Provider shall submit Clean Claims within one hundred twenty (120) days of the date of service or date of discharge, unless coordination of benefit issues exist. If coordination of benefit issues exist, then Provider shall submit bills within one hundred twenty (120) days from the date of payment by the primary carrier. Provider shall not separately ▇▇▇▇ for Covered Services for purposes of additional payments under this Agreement. Provider understands and agrees that failure to submit a Clean Claim in accordance with the requirements of this Section 2.9 may result in the denial of such Claim.

Appears in 3 contracts

Sources: Participating Provider Agreement, Participating Provider Agreement, Participating Provider Agreement

Claim Submission and Payment. 2.9.1 Provider Group shall submit Clean Claims within one hundred twenty (120) days of the date of service or date of discharge, unless coordination of benefit issues exist. If coordination of benefit issues exist, then Provider Group shall submit bills within one hundred twenty (120) days from the date of payment by the primary carrier. Provider Group may not ▇▇▇▇ HCT for Covered Services prior to the date of discharge and shall not separately ▇▇▇▇ for Covered Services for purposes of additional payments under this Agreement. Provider Group understands and agrees that failure to submit a Clean Claim in accordance with the requirements of this Section 2.9 may result in the denial of such Claim.

Appears in 2 contracts

Sources: Participating Group Agreement, Participating Group Agreement